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First-in-Human (FIH) Trial of GEN3009 in Subjects With Relapsed or Refractory B-Cell Non-Hodgkin Lymphomas

Safety and Efficacy of GEN3009 (DuoHexaBody®-CD37) in Relapsed or Refractory B-Cell Non-Hodgkin Lymphoma - A First-in-Human, Open-label, Phase 1/2a Dose Escalation Trial With Dose Expansion Cohorts

Status
Terminated
Phases
Phase 1Phase 2
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT04358458
Enrollment
46
Registered
2020-04-24
Start date
2020-03-13
Completion date
2023-07-28
Last updated
2024-10-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Chronic Lymphocytic Leukemia, Diffuse Large B-cell Lymphoma, Follicular Lymphoma, High-grade B-cell Lymphoma, Mantle Cell Lymphoma, Marginal Zone Lymphoma, Primary Mediastinal Large B-cell Lymphoma, Small Lymphocytic Lymphoma

Keywords

Anti-CD37, monoclonal antibodies, DuoHexabody®

Brief summary

The drug that will be investigated in the study is an antibody, GEN3009. Since this is the first study of GEN3009 in humans, the main purpose is to evaluate safety. Besides safety, the study will determine the recommended GEN3009 dose to be tested in a larger group of patients and assess preliminary clinical activity of GEN3009. GEN3009 will be studied in a broad group of cancer patients, having different kinds of lymphomas. All patients will get GEN3009 either as a single treatment (monotherapy) or in combination with another antibody-candidate for treatment of cancer in the blood. The study consists of two parts: Part 1 tests increasing doses of GEN3009 (escalation), followed by Part 2 which tests the recommended GEN3009 dose from Part 1 (expansion).

Detailed description

This trial will be conducted in 2 parts: Part 1 (Dose Escalation) and Part 2 (Dose Expansion). All subjects in Part 1 will receive GEN3009, administered at various dose levels in 28-day cycles. Dose Limiting Toxicity (DLT) will be assessed during the first treatment cycle of Part 1 and the Maximum Tolerated Dose (MTD) and/or Recommended phase 2 dose (RP2D) will be identified. Subjects in Part 2 will be treated with the Part 1-defined RP2D of GEN3009. Some subjects will receive GEN3009 in combination of a fixed dose of another antibody-candidate. Subjects in Part 2 are assigned either to one of 3 groups: Part 2 Monotherapy (hereafter referred to as 'Part 2A'), Part 2 Combination Safety Run-in ('Part2B') or Part 2 Combination ('Part2C'). Various types of B-cell NHLs are studied, including diffuse large B cell lymphoma (DLBCL), high-grade B cell lymphoma (HGBCL), mantle cell lymphoma (MCL), primary mediastinal large B-cell lymphoma (PMBCL), follicular lymphoma (FL), marginal zone lymphoma (MZL) and chronic lymphocytic leukemia/small lymphocytic lymphoma (CLL/SLL).

Interventions

BIOLOGICALGEN3009

GEN3009 will be administered by intravenous (IV) infusion in cycles of 28 days

BIOLOGICALEpcoritamab

Epcoritamab will be administered by subcutaneous (SC) injections in cycles of 28 days

Sponsors

Genmab
Lead SponsorINDUSTRY

Study design

Allocation
NON_RANDOMIZED
Intervention model
SEQUENTIAL
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

Key Inclusion Criteria: 1. Be at least 18 years of age. 2. Must sign an informed consent form prior to any screening procedures. 3. Dose Escalation: Has histologically or cytologically confirmed relapsed and/or refractory B-cell NHL with no available standard therapy or is not a candidate for available standard therapy, and for whom, in the opinion of the investigator, the experimental therapy may be beneficial. All subjects must have received at least two prior lines of systemic therapy. Dose Expansion: Has histologically or cytologically confirmed relapsed or refractory B-cell NHL. All subjects must have received at least 2 prior lines of systemic therapy, and, 1. For FL and DLBCL, at least 1 of the 2 prior lines of treatment must have been a CD20 containing systemic regimen; 2. For CLL, subjects must have received at least one prior line of BTK inhibitor or BCL 2 inhibitor. 4. Has one of the eligible subtypes of B-cell NHL : Dose Escalation: (DLBCL, HGBCL, PMBCL, FL, MCL, MZL, SLL, or CLL). Dose Expansion: (DLBCL, FL, CLL) 5. Has measurable disease for B-cell NHL or has active disease for Chronic Lymphocytic Leukemia (CLL). 6. Eastern Cooperative Oncology Group (ECOG) performance status of 0-1. 7. Has adequate hepatic, renal, and bone marrow functions. 8. Before the first dose of GEN3009, during the trial, and for 12 months after the last dose of GEN3009 and/or the combination, a woman must be either not of childbearing potential or of childbearing potential and practicing a highly effective method of birth control, and must have a negative serum beta-human chorionic gonadotropin (beta-hCG) and urine pregnancy test at screening. 9. A man who is sexually active with a woman of childbearing potential and has not had a vasectomy must agree to use a barrier method of birth control. 10. Subjects must have a life expectancy of at least 3 months. Key

Exclusion criteria

1. Prior treatment with a CD37-targeting agent. 2. Prior allogeneic Hematopoietic Stem Cell Transplantation (HSCT). 3. Prior treatment with a CD3xCD20 bispecific antibody (Combination Expansion cohort only). 4. Autologous HSCT within 3 months before the first dose of GEN3009. 5. Lymphomas leukemic phase: high absolute lymphocyte count or the presence of abnormal cells in the peripheral blood indicating circulating lymphoma cells. 6. Treatment with an anti-cancer biologic including anti-CD20 therapy, radio-conjugated or toxin-conjugated antibody or chimeric antigen receptor (CAR) T-cell therapy within 4 weeks or 5 half-lives, whichever is shorter, before the first dose of GEN3009. Treatment with small molecules such as BTK inhibitors, BCL2 inhibitors, or PI3K inhibitors within 5 half-lives prior to the first dose of GEN3009. 7. Chemotherapy or radiation therapy within 2 weeks of the first dose of GEN3009. 8. Treatment with an investigational drug or an invasive investigational medical device within 4 weeks or 5 half-lives, whichever is shorter, prior to the first dose of GEN3009, and at any time during the study treatment period. 9. Autoimmune disease or other diseases that require permanent or high-dose immunosuppressive therapy. 10. Received a cumulative dose of corticosteroids more than the equivalent of 250 mg of prednisone within the 2-week period before the first dose of GEN3009. 11. Has uncontrolled intercurrent illness. 12. Seizure disorder requiring therapy (such as steroids or anti-epileptics) (Combination Expansion cohort only). 13. Toxicities from previous anti-cancer therapies have not resolved to baseline levels or to Grade 1 or less except for alopecia and peripheral neuropathy. 14. Primary central nervous system (CNS) lymphoma or known CNS involvement at screening. 15. Known past or current malignancy other than inclusion diagnosis. 16. Had allergic reactions to anti-CD20 or anti-CD37 monoclonal antibody treatment or intolerant to GEN3009 or to the combination therapy excipients. 17. Has had major surgery within 4 weeks before screening or will not have fully recovered from surgery, or has major surgery planned during the time the subject is expected to participate in the trial (or within 4 weeks after the last dose of GEN3009 and/or the combination therapy). 18. Known history/positive serology for hepatitis B. 19. Known medical history or ongoing hepatitis C infection that has not been cured. 20. Known history of seropositivity for HIV infection. 21. Is a woman who is pregnant or breast-feeding, or who is planning to become pregnant while enrolled in this trial or within 12 months after the last dose of GEN3009 and/or the combination therapy. 22. Is a man who plans to father a child while enrolled in this trial or within 12 months after the last dose of GEN3009 and/or the combination therapy. 23. Has any condition for which, in the opinion of the investigator, participation would not be in the best interest of the subject (eg, compromise the well-being) or that could prevent, limit, or confound the protocol-specified assessments. Additionally, vulnerable subjects or subjects under guardianship, curatorship, judicial protection or deprived of liberty), are excluded from participation in this trial. 24. Exposed to live/live attenuated vaccine within 4 weeks prior to initiation of GEN3009 treatment. NOTE: Other protocol defined Inclusion/

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Dose Limiting Toxicities (DLTs)During the first treatment cycle (Cycle length=28 days)DLTs were graded according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0, except for TLS (Cairo-Bishop grading) and CRS/ICANS (Lee et al., 2019). These criteria include: all Grade 5 toxicities; hematologic events including thrombocytopenia Grade 4, neutropenia Grade 4, Febrile neutropenia Grade 3 or 4, Grade 3 or 4 hemorrhage associated with thrombocytopenia of ≥Grade 3, anemia of Grade 4 and tumor lysis syndrome (TLS) Grade 4; and non-hematologic AEs of Grade 3 or higher excluding certain fevers, hypotension, laboratory values, Aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT), nausea, vomiting, diarrhea, fatigue/asthenia, or alopecia (no grading), which meet certain additional criteria.
Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEsFrom first dose until 30 days after the last dose (up to 15.5 months)An AE is any untoward medical occurrence in a clinical trial participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as an AE that meets one of the following criteria: is fatal or life-threatening; results in persistent or significant disability/incapacity; constitutes a congenital anomaly/birth defect; is medically significant (an event that jeopardizes the participant or may require medical or surgical intervention to prevent one of the outcomes listed above \[medical and scientific judgment must be exercised in deciding whether an AE is medically significant\]); required inpatient hospitalization or prolongation of existing hospitalization. TEAEs are defined as AEs which begin, or worsen, during the on-treatment period ending 4 weeks after the last dose of study medication.
Number of Participants With AEs of Special Interest (AESI)From first dose until 30 days after the last dose (up to 15.5 months)AESIs are defined as events (serious or non-serious) that are of scientific and medical concern specific to the sponsor's product or program, for which ongoing monitoring and rapid communication by the investigator to the sponsor may be appropriate.
Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsFrom first dose until 30 days after the last dose (up to 15.5 months)Laboratory parameters included hematology, serum chemistries and urinalysis. Clinically significant laboratory abnormalities were based upon the Investigator's discretion. Laboratory parameters captured as AEs are reported in this outcome measure.
Number of Participants With Clinically Notable Vital SignsFrom first dose up to end of treatment (up to 14.5 months)Criteria for clinically notable (elevated and below normal values respectively) vital signs are as follows: Systolic Blood Pressure (SBP): ≥180 millimeters of mercury (mmHg) and an increase ≥20 mmHg from baseline, ≤90 mmHg and a decrease ≥20 mmHg from baseline; Diastolic Blood Pressure (DBP): ≥105 mmHg and an increase ≥15 mmHg from baseline, ≤50 mmHg and a decrease ≥15 mmHg from baseline; Heart rate: ≥120 beats per minute (bpm) with an increase of ≥15 bpm from baseline, ≤50 bpm and a decrease ≥15 bpm from baseline; Temperature: \> 38 degree Celsius (°C) and \< 35°C. Number of participants with clinically notable elevated and below normal vital signs values up to end of treatment are reported.
Number of Participants With Dose Delays and Dose InterruptionsFrom first dose until 30 days after the last dose (up to 15.5 months)Number of participants with dose delays and dose Interruptions due to AE, Coronavirus disease 2019 (COVID-19), drug administration issues and other unspecified reasons are reported.
Actual Dose IntensityFrom first dose until 30 days after the last dose (up to 15.5 months)Actual dose intensity (milligrams per cycle \[mg/cycle\]) is calculated as cumulative dose/number of cycles initiated.

Secondary

MeasureTime frameDescription
Trough Concentrations (Ctrough) of GEN3009Pre-dose and 5 minutes post-dose on days 1, 2, 4 (S2 only), 8, 15, 22 and 2h and 4h post-dose on days 1 and 2, 24h post-dose on day 2 and 72h post-dose on day 4 of Cycles 1 and 2 (Each cycle length=28 days)
Terminal Elimination Half-Life (t 1/2) of GEN3009Pre-dose and 5 minutes post-dose on days 1, 2, 4 (S2 only), 8, 15, 22 and 2h and 4h post-dose on days 1 and 2, 24h post-dose on day 2 and 72h post-dose on day 4 of Cycles 1 and 2 (Each cycle length=28 days)
Number of Participants With Positive Anti-drug Antibodies (ADAs)From first dose until 30 days after the last dose (up to 15.5 months)Venous blood samples will be collected for measurement of serum concentrations of ADAs. Number of participants with positive ADAs are reported in this outcome measure. The detection of ADAs was performed using validated, specific and sensitive Electrochemiluminescence Immunoassay (ECLIA) method.
Duration of Response (DoR)From date of first documented CR or PR up to disease progression or death (up to approximately 3 years 4 months)DoR is defined as the time from the first documentation of objective tumor response \[Complete response (CR) or Partial response (PR)\] to the date of first disease progression (PD) or death as assessed by the investigator based on Lugano criteria for B-cell non-Hodgkin lymphoma (B-cell NHL) and International Workshop on Chronic Lymphocytic Leukemia (iwCLL) for chronic lymphocytic leukemia (CLL). Detailed definition of CR, PR and PD as per Lugano and iwCLL criteria in the protocol appendices.
Apparent Total Plasma Clearance (CL) of GEN3009Pre-dose and 5 minutes post-dose on days 1, 2, 4 (S2 only), 8, 15, 22 and 2 hours (h) and 4h post-dose on days 1 and 2, 24h post-dose on day 2 and 72h post-dose on day 4 of Cycles 1 and 2 (Each cycle length=28 days)
Progression-free Survival (PFS)From day of first dose until disease progression or death due to any cause (up to approximately 3 years 4 months)PFS is defined as the time in days from Day 1 of Cycle 1 to the day of first documented PD, or the day of death due to any cause, whichever comes first as assessed by investigator based on Lugano Criteria for B-cell NHL and iwCLL for CLL. PFS was estimated using the Kaplan-Meier method. Detailed definitions of PD as per Lugano and iwCLL criteria in the protocol appendices.
Overall Survival (OS)From day of first dose until disease progression or death due to any cause (up to approximately 3 years 4 months)The OS is defined as the time from the start of study treatment until death due to any cause. The OS was estimated using Kaplan-Meier method.
Objective Response Rate (ORR)From day of first dose until disease progression or death due to any cause (up to approximately 3 years 4 months)ORR: the percentage of participants who achieved a best overall response (BOR) of CR or PR as assessed by investigator based on Lugano Criteria for B-cell NHL and iwCLL for CLL. Detailed definitions of CR and PR as per Lugano and iwCLL criteria in the protocol appendices.
CR RateFrom day of first dose until disease progression or death due to any cause (up to approximately 3 years 4 months)CR rate was estimated using Clopper-Pearson method. Detailed definitions of CR as per Lugano and iwCLL criteria in the protocol appendices.
Time to Response (TTR)From date of first documented CR or PR up to disease progression or death (up to approximately 3 years 4 months)TTR: time from first dose of administration until date of first response as assessed by investigator based on Lugano criteria for B-cell NHL and iwCLL for CLL. It is derived for all participants who achieved PR or CR. Detailed definitions of CR, PR and PD as per Lugano and iwCLL criteria in the protocol appendices.
Volume of Distribution of GEN3009Pre-dose and 5 minutes post-dose on days 1, 2, 4 (S2 only), 8, 15, 22 and 2h and 4h post-dose on days 1 and 2, 24h post-dose on day 2 and 72h post-dose on day 4 of Cycles 1 and 2 (Each cycle length=28 days)
Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Day 7 of GEN3009Pre-dose and 5 minutes post-dose on days 1, 2 and 4 (S2 only); 2h and 4h post-dose on days 1 and 2, 24h post-dose on day 2 and 72h post-dose on day 4 of Cycles 1 and 2 (Each cycle length=28 days)
AUC From Time 0 to Infinity (AUCinf) of GEN3009Pre-dose and 5 minutes post-dose on days 1, 2, 4 (S2 only), 8, 15, 22 and 2h and 4h post-dose on days 1 and 2, 24h post-dose on day 2 and 72h post-dose on day 4 of Cycles 1 and 2 (Each cycle length=28 days)
AUC From Time 0 to Time of Last Dose (AUClast) of GEN3009Pre-dose and 5 minutes post-dose on days 1, 2, 4 (S2 only), 8, 15, 22 and 2h and 4h post-dose on days 1 and 2, 24h post-dose on day 2 and 72h post-dose on day 4 of Cycles 1 and 2 (Each cycle length=28 days)
Maximum Observed Plasma Concentration (Cmax) of GEN3009Pre-dose and 5 minutes post-dose on days 1, 2, 4 (S2 only), 8, 15, 22 and 2h and 4h post-dose on days 1 and 2, 24h post-dose on day 2 and 72h post-dose on day 4 of Cycles 1 and 2 (Each cycle length=28 days)
Time to Reach Cmax (Tmax) of GEN3009Pre-dose and 5 minutes post-dose on days 1, 2, 4 (S2 only), 8, 15, 22 and 2h and 4h post-dose on days 1 and 2, 24h post-dose on day 2 and 72h post-dose on day 4 of Cycles 1 and 2 (Each cycle length=28 days)

Countries

Belgium, Denmark, Netherlands, Spain, United States

Participant flow

Recruitment details

The study was conducted at investigative sites in Belgium, Denmark, France, Spain and the United States from 13 March 2020 to 28 July 2023.

Pre-assignment details

This study was to be conducted in 2 parts; Part 1 was the dose-escalation phase and Part 2 was the expansion phase. However, the trial was terminated due to strategic evaluation of GEN3009 within context of Genmab's portfolio, the sponsor decided not to conduct the expansion phase (Part 2).

Participants by arm

ArmCount
Part 1: GEN3009 Dose Level A in S1
Participants received GEN3009 Dose level A in S1 by IV infusion on Days 1, 8, 15, and 22 in cycles 1-3, on Days 1 and 15 in cycles 4-9 and on Day 1 (every 4 weeks) in Cycle 10 until disease progression, unacceptable toxicity, death or end of trial. Each cycle was 28 days in this study.
3
Part 1: GEN3009 Dose Level B in S1
Participants received GEN3009 Dose level B in S1 by IV infusion on Days 1, 8, 15, and 22 in cycles 1-3, on Days 1 and 15 in cycles 4-9 and on Day 1 (every 4 weeks) in Cycle 10 until disease progression, unacceptable toxicity, death or end of trial. Each cycle was 28 days in this study.
4
Part 1: GEN3009 Dose Level C in S1
Participants received GEN3009 Dose level C in S1 by IV infusion on Days 1, 8, 15, and 22 in cycles 1-3, on Days 1 and 15 in cycles 4-9 and on Day 1 (every 4 weeks) in Cycle 10 until disease progression, unacceptable toxicity, death or end of trial. Each cycle was 28 days in this study.
7
Part 1: GEN3009 Dose Level D in S1
Participants received GEN3009 Dose level D in S1 by IV infusion on Days 1, 8, 15, and 22 in cycles 1-3, on Days 1 and 15 in cycles 4-9 and on Day 1 (every 4 weeks) in Cycle 10 until disease progression, unacceptable toxicity, death or end of trial. Each cycle was 28 days in this study. For cycle 1, participants received the dose split into 2 consecutive days. i.e., at C1D1 and the remaining amount at C1D2.
10
Part 1: GEN3009 Dose Level D in S2
Participants received GEN3009 Dose level D in S2 (in US only) by IV infusion on Days 1, 4, 8, 11, 15, 18, 22 and 25 in cycles 1, Day 1, 8, 15 and 22 in Cycles 2-3, Day 1 and 15 in Cycles 4-9 and Day 1 starting Cycle 10 until disease progression, unacceptable toxicity, death or end of trial. Each cycle was 28 days in this study. Participants received half of the full dose on Days 1, 4, 8, 11, 15, 18, 22, and 25 i.e. two half doses on Days 1 and 4 of each week for the first cycle.
3
Part 1: GEN3009 Dose Level E in S1
Participants received GEN3009 Dose level E in S1 by IV infusion on Days 1, 8, 15, and 22 in cycles 1-3, on Days 1 and 15 in cycles 4-9 and on Day 1 (every 4 weeks) in Cycle 10 until disease progression, unacceptable toxicity, death or end of trial. Each cycle was 28 days in this study. For cycle 1, participants received the dose split into 2 consecutive days. i.e., at C1D1 and the remaining amount at C1D2.
10
Part 1: GEN3009 Dose Level F in S1
Participants received GEN3009 Dose level F in S1 by IV infusion on Days 1, 8, 15, and 22 in cycles 1-3, on Days 1 and 15 in cycles 4-9 and on Day 1 (every 4 weeks) in Cycle 10 until disease progression, unacceptable toxicity, death or end of trial. Each cycle was 28 days in this study. For cycle 1, participants received the dose split into 2 consecutive days. i.e., at C1D1 and the remaining amount at C1D2.
3
Part 1: GEN3009 Dose Level G in S1
Participants received GEN3009 Dose level G in S1 by IV infusion on Days 1, 8, 15, and 22 in cycles 1-3, on Days 1 and 15 in cycles 4-9 and on Day 1 (every 4 weeks) in Cycle 10 until disease progression, unacceptable toxicity, death or end of trial. Each cycle was 28 days in this study. For cycle 1, participants received the dose split into 2 consecutive days. i.e., at C1D1 and the remaining amount at C1D2.
6
Total46

Withdrawals & dropouts

PeriodReasonFG000FG001FG002FG003FG004FG005FG006FG007
Overall StudyDeath11381623
Overall StudyLost to Follow-up00000001
Overall StudySite is closing study participation00010000
Overall StudySponsor request23302311
Overall StudyWithdrawal by Subject00110101

Baseline characteristics

CharacteristicPart 1: GEN3009 Dose Level A in S1Part 1: GEN3009 Dose Level B in S1Part 1: GEN3009 Dose Level C in S1Part 1: GEN3009 Dose Level D in S1Part 1: GEN3009 Dose Level D in S2Part 1: GEN3009 Dose Level E in S1Part 1: GEN3009 Dose Level F in S1Part 1: GEN3009 Dose Level G in S1Total
Age, Continuous65 years
STANDARD_DEVIATION 3.46
54.5 years
STANDARD_DEVIATION 8.81
74.6 years
STANDARD_DEVIATION 8.68
67.1 years
STANDARD_DEVIATION 9.89
63.3 years
STANDARD_DEVIATION 16.86
69.4 years
STANDARD_DEVIATION 10.23
70.3 years
STANDARD_DEVIATION 9.87
60.8 years
STANDARD_DEVIATION 17.38
66.7 years
STANDARD_DEVIATION 11.74
Race/Ethnicity, Customized
Ethnicity
Missing
0 Participants2 Participants5 Participants4 Participants0 Participants8 Participants3 Participants3 Participants25 Participants
Race/Ethnicity, Customized
Ethnicity
Not Hispanic or Latino
2 Participants2 Participants2 Participants6 Participants3 Participants0 Participants0 Participants3 Participants18 Participants
Race/Ethnicity, Customized
Ethnicity
Not Reported
1 Participants0 Participants0 Participants0 Participants0 Participants2 Participants0 Participants0 Participants3 Participants
Race/Ethnicity, Customized
Race
Black or African American
1 Participants1 Participants0 Participants2 Participants0 Participants0 Participants0 Participants1 Participants5 Participants
Race/Ethnicity, Customized
Race
Missing
0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Race
Not Reported
0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Race
Other
0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants0 Participants0 Participants1 Participants
Race/Ethnicity, Customized
Race
White
2 Participants3 Participants7 Participants7 Participants3 Participants8 Participants3 Participants5 Participants38 Participants
Region of Enrollment
Belgium
0 Participants0 Participants0 Participants0 Participants0 Participants1 Participants1 Participants0 Participants2 Participants
Region of Enrollment
Denmark
0 Participants0 Participants2 Participants2 Participants0 Participants2 Participants0 Participants1 Participants7 Participants
Region of Enrollment
Netherlands
0 Participants0 Participants0 Participants1 Participants0 Participants2 Participants1 Participants2 Participants6 Participants
Region of Enrollment
Spain
0 Participants2 Participants3 Participants1 Participants0 Participants3 Participants1 Participants0 Participants10 Participants
Region of Enrollment
United States
3 Participants2 Participants2 Participants6 Participants3 Participants2 Participants0 Participants3 Participants21 Participants
Sex: Female, Male
Female
2 Participants1 Participants2 Participants2 Participants0 Participants2 Participants1 Participants1 Participants11 Participants
Sex: Female, Male
Male
1 Participants3 Participants5 Participants8 Participants3 Participants8 Participants2 Participants5 Participants35 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
EG002
affected / at risk
EG003
affected / at risk
EG004
affected / at risk
EG005
affected / at risk
EG006
affected / at risk
EG007
affected / at risk
deaths
Total, all-cause mortality
1 / 31 / 43 / 78 / 101 / 36 / 102 / 33 / 6
other
Total, other adverse events
3 / 34 / 47 / 79 / 103 / 310 / 103 / 36 / 6
serious
Total, serious adverse events
0 / 30 / 44 / 77 / 102 / 34 / 102 / 34 / 6

Outcome results

Primary

Actual Dose Intensity

Actual dose intensity (milligrams per cycle \[mg/cycle\]) is calculated as cumulative dose/number of cycles initiated.

Time frame: From first dose until 30 days after the last dose (up to 15.5 months)

Population: The Safety analysis set included all participants who had received at least 1 dose of GEN3009. 'Number analyzed' indicates the number of participants with data available for analysis at specified cycle duration.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1: GEN3009 Dose Level A in S1Actual Dose IntensityCycles 1-3114.67 mg/cycleStandard Deviation 112.1
Part 1: GEN3009 Dose Level B in S1Actual Dose IntensityCycles 4-9363.71 mg/cycle
Part 1: GEN3009 Dose Level B in S1Actual Dose IntensityCycles 1-3720.00 mg/cycleStandard Deviation 0
Part 1: GEN3009 Dose Level C in S1Actual Dose IntensityCycle 10-until end of study318.94 mg/cycle
Part 1: GEN3009 Dose Level C in S1Actual Dose IntensityCycles 1-31389.46 mg/cycleStandard Deviation 278.91
Part 1: GEN3009 Dose Level C in S1Actual Dose IntensityCycles 4-9799.71 mg/cycleStandard Deviation 10.64
Part 1: GEN3009 Dose Level D in S1Actual Dose IntensityCycles 1-32501.53 mg/cycleStandard Deviation 992.91
Part 1: GEN3009 Dose Level D in S1Actual Dose IntensityCycles 4-91527.27 mg/cycle
Part 1: GEN3009 Dose Level D in S2Actual Dose IntensityCycles 1-32515.85 mg/cycleStandard Deviation 1053.9
Part 1: GEN3009 Dose Level E in S1Actual Dose IntensityCycles 1-33903.62 mg/cycleStandard Deviation 1135.72
Part 1: GEN3009 Dose Level E in S1Actual Dose IntensityCycles 4-92400.00 mg/cycle
Part 1: GEN3009 Dose Level F in S1Actual Dose IntensityCycles 1-35957.23 mg/cycleStandard Deviation 766.9
Part 1: GEN3009 Dose Level F in S1Actual Dose IntensityCycles 4-92953.02 mg/cycleStandard Deviation 349.28
Part 1: GEN3009 Dose Level G in S1Actual Dose IntensityCycles 1-36973.78 mg/cycleStandard Deviation 1072.58
Primary

Number of Participants With AEs of Special Interest (AESI)

AESIs are defined as events (serious or non-serious) that are of scientific and medical concern specific to the sponsor's product or program, for which ongoing monitoring and rapid communication by the investigator to the sponsor may be appropriate.

Time frame: From first dose until 30 days after the last dose (up to 15.5 months)

Population: The Safety analysis set included all participants who had received at least 1 dose of GEN3009.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part 1: GEN3009 Dose Level A in S1Number of Participants With AEs of Special Interest (AESI)1 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With AEs of Special Interest (AESI)1 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With AEs of Special Interest (AESI)7 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With AEs of Special Interest (AESI)9 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With AEs of Special Interest (AESI)3 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With AEs of Special Interest (AESI)10 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With AEs of Special Interest (AESI)3 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With AEs of Special Interest (AESI)5 Participants
Primary

Number of Participants With Clinically Notable Vital Signs

Criteria for clinically notable (elevated and below normal values respectively) vital signs are as follows: Systolic Blood Pressure (SBP): ≥180 millimeters of mercury (mmHg) and an increase ≥20 mmHg from baseline, ≤90 mmHg and a decrease ≥20 mmHg from baseline; Diastolic Blood Pressure (DBP): ≥105 mmHg and an increase ≥15 mmHg from baseline, ≤50 mmHg and a decrease ≥15 mmHg from baseline; Heart rate: ≥120 beats per minute (bpm) with an increase of ≥15 bpm from baseline, ≤50 bpm and a decrease ≥15 bpm from baseline; Temperature: \> 38 degree Celsius (°C) and \< 35°C. Number of participants with clinically notable elevated and below normal vital signs values up to end of treatment are reported.

Time frame: From first dose up to end of treatment (up to 14.5 months)

Population: The Safety analysis set included all participants who had received at least 1 dose of GEN3009. 'Overall number of participants analyzed' indicates the number of participants with data available for outcome measure analysis.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part 1: GEN3009 Dose Level A in S1Number of Participants With Clinically Notable Vital SignsDBP: Elevated0 Participants
Part 1: GEN3009 Dose Level A in S1Number of Participants With Clinically Notable Vital SignsSBP: Below Normal0 Participants
Part 1: GEN3009 Dose Level A in S1Number of Participants With Clinically Notable Vital SignsSBP: Elevated0 Participants
Part 1: GEN3009 Dose Level A in S1Number of Participants With Clinically Notable Vital SignsDBP: Below Normal0 Participants
Part 1: GEN3009 Dose Level A in S1Number of Participants With Clinically Notable Vital SignsHeart Rate: Elevated0 Participants
Part 1: GEN3009 Dose Level A in S1Number of Participants With Clinically Notable Vital SignsHeart Rate: Below Normal0 Participants
Part 1: GEN3009 Dose Level A in S1Number of Participants With Clinically Notable Vital SignsTemperature: Elevated0 Participants
Part 1: GEN3009 Dose Level A in S1Number of Participants With Clinically Notable Vital SignsTemperature: Below Normal0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Clinically Notable Vital SignsHeart Rate: Elevated0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Clinically Notable Vital SignsDBP: Elevated0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Clinically Notable Vital SignsHeart Rate: Below Normal0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Clinically Notable Vital SignsTemperature: Elevated0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Clinically Notable Vital SignsSBP: Elevated0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Clinically Notable Vital SignsDBP: Below Normal0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Clinically Notable Vital SignsSBP: Below Normal0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Clinically Notable Vital SignsTemperature: Below Normal0 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Clinically Notable Vital SignsTemperature: Elevated0 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Clinically Notable Vital SignsHeart Rate: Elevated0 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Clinically Notable Vital SignsTemperature: Below Normal0 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Clinically Notable Vital SignsDBP: Elevated0 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Clinically Notable Vital SignsHeart Rate: Below Normal0 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Clinically Notable Vital SignsDBP: Below Normal0 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Clinically Notable Vital SignsSBP: Elevated0 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Clinically Notable Vital SignsSBP: Below Normal0 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Clinically Notable Vital SignsTemperature: Below Normal0 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Clinically Notable Vital SignsSBP: Below Normal1 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Clinically Notable Vital SignsSBP: Elevated0 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Clinically Notable Vital SignsDBP: Below Normal0 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Clinically Notable Vital SignsDBP: Elevated0 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Clinically Notable Vital SignsHeart Rate: Elevated0 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Clinically Notable Vital SignsHeart Rate: Below Normal0 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Clinically Notable Vital SignsTemperature: Elevated0 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Clinically Notable Vital SignsDBP: Below Normal0 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Clinically Notable Vital SignsTemperature: Elevated0 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Clinically Notable Vital SignsDBP: Elevated0 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Clinically Notable Vital SignsSBP: Elevated0 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Clinically Notable Vital SignsTemperature: Below Normal0 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Clinically Notable Vital SignsHeart Rate: Elevated0 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Clinically Notable Vital SignsHeart Rate: Below Normal0 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Clinically Notable Vital SignsSBP: Below Normal0 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Clinically Notable Vital SignsTemperature: Below Normal0 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Clinically Notable Vital SignsSBP: Below Normal2 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Clinically Notable Vital SignsDBP: Elevated0 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Clinically Notable Vital SignsSBP: Elevated0 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Clinically Notable Vital SignsTemperature: Elevated0 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Clinically Notable Vital SignsHeart Rate: Below Normal0 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Clinically Notable Vital SignsHeart Rate: Elevated0 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Clinically Notable Vital SignsDBP: Below Normal0 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Clinically Notable Vital SignsDBP: Elevated0 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Clinically Notable Vital SignsSBP: Below Normal0 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Clinically Notable Vital SignsDBP: Below Normal0 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Clinically Notable Vital SignsHeart Rate: Elevated0 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Clinically Notable Vital SignsHeart Rate: Below Normal0 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Clinically Notable Vital SignsTemperature: Below Normal0 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Clinically Notable Vital SignsTemperature: Elevated0 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Clinically Notable Vital SignsSBP: Elevated0 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Clinically Notable Vital SignsTemperature: Below Normal0 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Clinically Notable Vital SignsHeart Rate: Below Normal0 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Clinically Notable Vital SignsHeart Rate: Elevated0 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Clinically Notable Vital SignsDBP: Below Normal0 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Clinically Notable Vital SignsDBP: Elevated0 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Clinically Notable Vital SignsSBP: Below Normal1 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Clinically Notable Vital SignsSBP: Elevated0 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Clinically Notable Vital SignsTemperature: Elevated0 Participants
Primary

Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEs

Laboratory parameters included hematology, serum chemistries and urinalysis. Clinically significant laboratory abnormalities were based upon the Investigator's discretion. Laboratory parameters captured as AEs are reported in this outcome measure.

Time frame: From first dose until 30 days after the last dose (up to 15.5 months)

Population: The Safety analysis set included all participants who had received at least 1 dose of GEN3009.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part 1: GEN3009 Dose Level A in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood lactate dehydrogenase increased0 Participants
Part 1: GEN3009 Dose Level A in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood creatinine increased0 Participants
Part 1: GEN3009 Dose Level A in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood alkaline phosphatase increased0 Participants
Part 1: GEN3009 Dose Level A in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood creatine increased0 Participants
Part 1: GEN3009 Dose Level A in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsAspartate aminotransferase increased0 Participants
Part 1: GEN3009 Dose Level A in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsAlanine aminotransferase increased0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood creatine increased0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsAspartate aminotransferase increased0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood alkaline phosphatase increased0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsAlanine aminotransferase increased0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood creatinine increased0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood lactate dehydrogenase increased0 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood creatinine increased2 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsAspartate aminotransferase increased1 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood lactate dehydrogenase increased1 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsAlanine aminotransferase increased1 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood creatine increased0 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood alkaline phosphatase increased1 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood alkaline phosphatase increased0 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood creatinine increased1 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood lactate dehydrogenase increased0 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsAlanine aminotransferase increased0 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsAspartate aminotransferase increased0 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood creatine increased0 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsAlanine aminotransferase increased0 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood creatinine increased0 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood lactate dehydrogenase increased0 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood alkaline phosphatase increased0 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood creatine increased0 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsAspartate aminotransferase increased0 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood alkaline phosphatase increased1 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsAspartate aminotransferase increased0 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood creatinine increased0 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsAlanine aminotransferase increased0 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood lactate dehydrogenase increased1 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood creatine increased0 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood lactate dehydrogenase increased0 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood alkaline phosphatase increased0 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsAlanine aminotransferase increased0 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood creatinine increased0 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood creatine increased1 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsAspartate aminotransferase increased0 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsAspartate aminotransferase increased0 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood creatine increased0 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood creatinine increased1 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsAlanine aminotransferase increased0 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood alkaline phosphatase increased1 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Clinically Significant Laboratory Abnormalities Reported as TEAEsBlood lactate dehydrogenase increased0 Participants
Primary

Number of Participants With Dose Delays and Dose Interruptions

Number of participants with dose delays and dose Interruptions due to AE, Coronavirus disease 2019 (COVID-19), drug administration issues and other unspecified reasons are reported.

Time frame: From first dose until 30 days after the last dose (up to 15.5 months)

Population: The Safety analysis set included all participants who had received at least 1 dose of GEN3009.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part 1: GEN3009 Dose Level A in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to unspecified reason0 Participants
Part 1: GEN3009 Dose Level A in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to AE0 Participants
Part 1: GEN3009 Dose Level A in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to Coronavirus disease 2019 (COVID-19)0 Participants
Part 1: GEN3009 Dose Level A in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to un-specified reason0 Participants
Part 1: GEN3009 Dose Level A in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to drug administration issues1 Participants
Part 1: GEN3009 Dose Level A in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to AE0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to un-specified reason0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to AE0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to AE1 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to unspecified reason0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to Coronavirus disease 2019 (COVID-19)0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to drug administration issues0 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to drug administration issues0 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to un-specified reason1 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to Coronavirus disease 2019 (COVID-19)0 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to AE7 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to unspecified reason1 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to AE4 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to drug administration issues0 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to AE1 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to Coronavirus disease 2019 (COVID-19)0 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to un-specified reason1 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to AE9 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to unspecified reason1 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to drug administration issues0 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Dose Delays and Dose InterruptionsDose delay due to Coronavirus disease 2019 (COVID-19)0 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to unspecified reason0 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Dose Delays and Dose InterruptionsDose delay due to AE1 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to AE3 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Dose Delays and Dose InterruptionsDose delay due to un-specified reason0 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to un-specified reason1 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to AE10 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to Coronavirus disease 2019 (COVID-19)0 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to drug administration issues1 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to AE2 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to unspecified reason0 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to AE3 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to drug administration issues0 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to AE1 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to un-specified reason1 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to unspecified reason0 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to Coronavirus disease 2019 (COVID-19)0 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to AE5 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to un-specified reason0 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to unspecified reason0 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Dose Delays and Dose InterruptionsDose interruption due to drug administration issues0 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to AE2 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Dose Delays and Dose InterruptionsDose delay due to Coronavirus disease 2019 (COVID-19)0 Participants
Primary

Number of Participants With Dose Limiting Toxicities (DLTs)

DLTs were graded according to National Cancer Institute Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 5.0, except for TLS (Cairo-Bishop grading) and CRS/ICANS (Lee et al., 2019). These criteria include: all Grade 5 toxicities; hematologic events including thrombocytopenia Grade 4, neutropenia Grade 4, Febrile neutropenia Grade 3 or 4, Grade 3 or 4 hemorrhage associated with thrombocytopenia of ≥Grade 3, anemia of Grade 4 and tumor lysis syndrome (TLS) Grade 4; and non-hematologic AEs of Grade 3 or higher excluding certain fevers, hypotension, laboratory values, Aspartate aminotransferase (AST) and/or alanine aminotransferase (ALT), nausea, vomiting, diarrhea, fatigue/asthenia, or alopecia (no grading), which meet certain additional criteria.

Time frame: During the first treatment cycle (Cycle length=28 days)

Population: The Safety analysis set included all participants who had received at least 1 dose of GEN3009.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part 1: GEN3009 Dose Level A in S1Number of Participants With Dose Limiting Toxicities (DLTs)0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Dose Limiting Toxicities (DLTs)0 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Dose Limiting Toxicities (DLTs)0 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Dose Limiting Toxicities (DLTs)0 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Dose Limiting Toxicities (DLTs)0 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Dose Limiting Toxicities (DLTs)0 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Dose Limiting Toxicities (DLTs)0 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Dose Limiting Toxicities (DLTs)3 Participants
Primary

Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEs

An AE is any untoward medical occurrence in a clinical trial participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. An SAE is defined as an AE that meets one of the following criteria: is fatal or life-threatening; results in persistent or significant disability/incapacity; constitutes a congenital anomaly/birth defect; is medically significant (an event that jeopardizes the participant or may require medical or surgical intervention to prevent one of the outcomes listed above \[medical and scientific judgment must be exercised in deciding whether an AE is medically significant\]); required inpatient hospitalization or prolongation of existing hospitalization. TEAEs are defined as AEs which begin, or worsen, during the on-treatment period ending 4 weeks after the last dose of study medication.

Time frame: From first dose until 30 days after the last dose (up to 15.5 months)

Population: The Safety analysis set included all participants who had received at least 1 dose of GEN3009.

ArmMeasureGroupValue (COUNT_OF_PARTICIPANTS)
Part 1: GEN3009 Dose Level A in S1Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with TEAEs3 Participants
Part 1: GEN3009 Dose Level A in S1Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with Serious TEAEs0 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with TEAEs4 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with Serious TEAEs0 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with TEAEs7 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with Serious TEAEs4 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with TEAEs10 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with Serious TEAEs7 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with TEAEs3 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with Serious TEAEs2 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with TEAEs10 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with Serious TEAEs4 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with Serious TEAEs2 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with TEAEs3 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with TEAEs6 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Treatment Emergent Adverse Events (TEAEs) and Serious TEAEsParticipants with Serious TEAEs4 Participants
Secondary

Apparent Total Plasma Clearance (CL) of GEN3009

Time frame: Pre-dose and 5 minutes post-dose on days 1, 2, 4 (S2 only), 8, 15, 22 and 2 hours (h) and 4h post-dose on days 1 and 2, 24h post-dose on day 2 and 72h post-dose on day 4 of Cycles 1 and 2 (Each cycle length=28 days)

Population: The pharmacokinetic analysis set (PAS) includes all participants who have been exposed to GEN3009 and have had at least one pharmacokinetic sample collected that has provided a valid bioanalytical result.

ArmMeasureGroupValue (MEAN)
Part 1: GEN3009 Dose Level A in S1Apparent Total Plasma Clearance (CL) of GEN3009Cycle 1NA Liters per day
Part 1: GEN3009 Dose Level A in S1Apparent Total Plasma Clearance (CL) of GEN3009Cycle 2NA Liters per day
Part 1: GEN3009 Dose Level B in S1Apparent Total Plasma Clearance (CL) of GEN3009Cycle 1NA Liters per day
Part 1: GEN3009 Dose Level B in S1Apparent Total Plasma Clearance (CL) of GEN3009Cycle 2NA Liters per day
Part 1: GEN3009 Dose Level C in S1Apparent Total Plasma Clearance (CL) of GEN3009Cycle 1NA Liters per day
Part 1: GEN3009 Dose Level C in S1Apparent Total Plasma Clearance (CL) of GEN3009Cycle 2NA Liters per day
Part 1: GEN3009 Dose Level D in S1Apparent Total Plasma Clearance (CL) of GEN3009Cycle 1NA Liters per day
Part 1: GEN3009 Dose Level D in S1Apparent Total Plasma Clearance (CL) of GEN3009Cycle 2NA Liters per day
Part 1: GEN3009 Dose Level D in S2Apparent Total Plasma Clearance (CL) of GEN3009Cycle 1NA Liters per day
Part 1: GEN3009 Dose Level D in S2Apparent Total Plasma Clearance (CL) of GEN3009Cycle 2NA Liters per day
Part 1: GEN3009 Dose Level E in S1Apparent Total Plasma Clearance (CL) of GEN3009Cycle 1NA Liters per day
Part 1: GEN3009 Dose Level E in S1Apparent Total Plasma Clearance (CL) of GEN3009Cycle 2NA Liters per day
Part 1: GEN3009 Dose Level F in S1Apparent Total Plasma Clearance (CL) of GEN3009Cycle 2NA Liters per day
Part 1: GEN3009 Dose Level F in S1Apparent Total Plasma Clearance (CL) of GEN3009Cycle 1NA Liters per day
Part 1: GEN3009 Dose Level G in S1Apparent Total Plasma Clearance (CL) of GEN3009Cycle 1NA Liters per day
Part 1: GEN3009 Dose Level G in S1Apparent Total Plasma Clearance (CL) of GEN3009Cycle 2NA Liters per day
Secondary

Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Day 7 of GEN3009

Time frame: Pre-dose and 5 minutes post-dose on days 1, 2 and 4 (S2 only); 2h and 4h post-dose on days 1 and 2, 24h post-dose on day 2 and 72h post-dose on day 4 of Cycles 1 and 2 (Each cycle length=28 days)

Population: The PAS includes all participants who have been exposed to GEN3009 and have had at least one pharmacokinetic sample collected that has provided a valid bioanalytical result. 'Overall number of participants analyzed' indicates the number of participants with data available for outcome measure analysis. 'Number analyzed' indicates the number of participants with data available for analysis at a specified cycle.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1: GEN3009 Dose Level C in S1Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Day 7 of GEN3009Cycle 1159.2796 micrograms*day per milliliter(ug*day/mL)Standard Deviation 95.733
Part 1: GEN3009 Dose Level C in S1Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Day 7 of GEN3009Cycle 2132.6580 micrograms*day per milliliter(ug*day/mL)
Part 1: GEN3009 Dose Level D in S1Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Day 7 of GEN3009Cycle 2159.3302 micrograms*day per milliliter(ug*day/mL)Standard Deviation 22.1333
Part 1: GEN3009 Dose Level D in S1Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Day 7 of GEN3009Cycle 1181.5966 micrograms*day per milliliter(ug*day/mL)
Part 1: GEN3009 Dose Level D in S2Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Day 7 of GEN3009Cycle 1260.8704 micrograms*day per milliliter(ug*day/mL)
Part 1: GEN3009 Dose Level E in S1Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Day 7 of GEN3009Cycle 1219.1863 micrograms*day per milliliter(ug*day/mL)Standard Deviation 46.3749
Part 1: GEN3009 Dose Level E in S1Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Day 7 of GEN3009Cycle 2159.3456 micrograms*day per milliliter(ug*day/mL)Standard Deviation 98.0641
Part 1: GEN3009 Dose Level F in S1Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Day 7 of GEN3009Cycle 2363.4413 micrograms*day per milliliter(ug*day/mL)Standard Deviation 190.012
Part 1: GEN3009 Dose Level F in S1Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Day 7 of GEN3009Cycle 1353.5017 micrograms*day per milliliter(ug*day/mL)Standard Deviation 177.2169
Part 1: GEN3009 Dose Level G in S1Area Under the Plasma Concentration-Time Curve (AUC) From Time 0 to Day 7 of GEN3009Cycle 1389.0321 micrograms*day per milliliter(ug*day/mL)Standard Deviation 126.8407
Secondary

AUC From Time 0 to Infinity (AUCinf) of GEN3009

Time frame: Pre-dose and 5 minutes post-dose on days 1, 2, 4 (S2 only), 8, 15, 22 and 2h and 4h post-dose on days 1 and 2, 24h post-dose on day 2 and 72h post-dose on day 4 of Cycles 1 and 2 (Each cycle length=28 days)

Population: The PAS includes all participants who have been exposed to GEN3009 and have had at least one pharmacokinetic sample collected that has provided a valid bioanalytical result. 'Overall number of participants analyzed' indicates the number of participants with data available for outcome measure analysis. 'Number analyzed' indicates the number of participants with data available for analysis at a specified cycle.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1: GEN3009 Dose Level A in S1AUC From Time 0 to Infinity (AUCinf) of GEN3009Cycle 16.0154 ug*day/mLStandard Deviation 3.8503
Part 1: GEN3009 Dose Level A in S1AUC From Time 0 to Infinity (AUCinf) of GEN3009Cycle 25.9939 ug*day/mLStandard Deviation 0.6498
Part 1: GEN3009 Dose Level B in S1AUC From Time 0 to Infinity (AUCinf) of GEN3009Cycle 156.3289 ug*day/mLStandard Deviation 22.44
Part 1: GEN3009 Dose Level B in S1AUC From Time 0 to Infinity (AUCinf) of GEN3009Cycle 246.4191 ug*day/mLStandard Deviation 9.8966
Part 1: GEN3009 Dose Level C in S1AUC From Time 0 to Infinity (AUCinf) of GEN3009Cycle 1136.8615 ug*day/mLStandard Deviation 72.7498
Part 1: GEN3009 Dose Level C in S1AUC From Time 0 to Infinity (AUCinf) of GEN3009Cycle 2139.9286 ug*day/mLStandard Deviation 61.7235
Part 1: GEN3009 Dose Level D in S1AUC From Time 0 to Infinity (AUCinf) of GEN3009Cycle 2127.4566 ug*day/mLStandard Deviation 49.8017
Part 1: GEN3009 Dose Level D in S1AUC From Time 0 to Infinity (AUCinf) of GEN3009Cycle 1163.9206 ug*day/mLStandard Deviation 52.0135
Part 1: GEN3009 Dose Level D in S2AUC From Time 0 to Infinity (AUCinf) of GEN3009Cycle 1332.1408 ug*day/mLStandard Deviation 73.1435
Part 1: GEN3009 Dose Level D in S2AUC From Time 0 to Infinity (AUCinf) of GEN3009Cycle 2957.4149 ug*day/mLStandard Deviation 1427.7939
Part 1: GEN3009 Dose Level E in S1AUC From Time 0 to Infinity (AUCinf) of GEN3009Cycle 1192.0412 ug*day/mLStandard Deviation 90.3476
Part 1: GEN3009 Dose Level E in S1AUC From Time 0 to Infinity (AUCinf) of GEN3009Cycle 2159.8668 ug*day/mLStandard Deviation 73.6559
Part 1: GEN3009 Dose Level F in S1AUC From Time 0 to Infinity (AUCinf) of GEN3009Cycle 2363.7766 ug*day/mLStandard Deviation 190.3613
Part 1: GEN3009 Dose Level F in S1AUC From Time 0 to Infinity (AUCinf) of GEN3009Cycle 1358.0010 ug*day/mLStandard Deviation 183.3857
Part 1: GEN3009 Dose Level G in S1AUC From Time 0 to Infinity (AUCinf) of GEN3009Cycle 1335.8745 ug*day/mLStandard Deviation 117.1831
Secondary

AUC From Time 0 to Time of Last Dose (AUClast) of GEN3009

Time frame: Pre-dose and 5 minutes post-dose on days 1, 2, 4 (S2 only), 8, 15, 22 and 2h and 4h post-dose on days 1 and 2, 24h post-dose on day 2 and 72h post-dose on day 4 of Cycles 1 and 2 (Each cycle length=28 days)

Population: The PAS includes all participants who have been exposed to GEN3009 and have had at least one pharmacokinetic sample collected that has provided a valid bioanalytical result. 'Number analyzed' indicates the number of participants with data available for analysis at specified cycle duration.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1: GEN3009 Dose Level A in S1AUC From Time 0 to Time of Last Dose (AUClast) of GEN3009Cycle 14.5524 ug*day/mLStandard Deviation 2.3467
Part 1: GEN3009 Dose Level A in S1AUC From Time 0 to Time of Last Dose (AUClast) of GEN3009Cycle 24.4707 ug*day/mLStandard Deviation 1.3098
Part 1: GEN3009 Dose Level B in S1AUC From Time 0 to Time of Last Dose (AUClast) of GEN3009Cycle 151.0701 ug*day/mLStandard Deviation 17.1901
Part 1: GEN3009 Dose Level B in S1AUC From Time 0 to Time of Last Dose (AUClast) of GEN3009Cycle 245.0924 ug*day/mLStandard Deviation 9.1404
Part 1: GEN3009 Dose Level C in S1AUC From Time 0 to Time of Last Dose (AUClast) of GEN3009Cycle 1103.4129 ug*day/mLStandard Deviation 73.3627
Part 1: GEN3009 Dose Level C in S1AUC From Time 0 to Time of Last Dose (AUClast) of GEN3009Cycle 2121.5349 ug*day/mLStandard Deviation 53.0658
Part 1: GEN3009 Dose Level D in S1AUC From Time 0 to Time of Last Dose (AUClast) of GEN3009Cycle 2103.5413 ug*day/mLStandard Deviation 61.7884
Part 1: GEN3009 Dose Level D in S1AUC From Time 0 to Time of Last Dose (AUClast) of GEN3009Cycle 1148.4079 ug*day/mLStandard Deviation 41.775
Part 1: GEN3009 Dose Level D in S2AUC From Time 0 to Time of Last Dose (AUClast) of GEN3009Cycle 1467.9622 ug*day/mLStandard Deviation 283.7778
Part 1: GEN3009 Dose Level D in S2AUC From Time 0 to Time of Last Dose (AUClast) of GEN3009Cycle 2441.7798 ug*day/mLStandard Deviation 542.0539
Part 1: GEN3009 Dose Level E in S1AUC From Time 0 to Time of Last Dose (AUClast) of GEN3009Cycle 1150.7393 ug*day/mLStandard Deviation 96.0893
Part 1: GEN3009 Dose Level E in S1AUC From Time 0 to Time of Last Dose (AUClast) of GEN3009Cycle 2152.4631 ug*day/mLStandard Deviation 74.104
Part 1: GEN3009 Dose Level F in S1AUC From Time 0 to Time of Last Dose (AUClast) of GEN3009Cycle 2363.4413 ug*day/mLStandard Deviation 190.012
Part 1: GEN3009 Dose Level F in S1AUC From Time 0 to Time of Last Dose (AUClast) of GEN3009Cycle 1353.5017 ug*day/mLStandard Deviation 177.2169
Part 1: GEN3009 Dose Level G in S1AUC From Time 0 to Time of Last Dose (AUClast) of GEN3009Cycle 1327.1762 ug*day/mLStandard Deviation 109.9472
Secondary

CR Rate

CR rate was estimated using Clopper-Pearson method. Detailed definitions of CR as per Lugano and iwCLL criteria in the protocol appendices.

Time frame: From day of first dose until disease progression or death due to any cause (up to approximately 3 years 4 months)

Population: The Response Evaluable set includes all participants in FAS who have baseline evaluable disease and had at least 1 post-baseline disease evaluation or died within 60 days of first trial treatment.

ArmMeasureValue (NUMBER)
Part 1: GEN3009 Dose Level A in S1CR Rate0 percentage of participants
Part 1: GEN3009 Dose Level B in S1CR Rate0 percentage of participants
Part 1: GEN3009 Dose Level C in S1CR Rate28.6 percentage of participants
Part 1: GEN3009 Dose Level D in S1CR Rate0 percentage of participants
Part 1: GEN3009 Dose Level D in S2CR Rate33.3 percentage of participants
Part 1: GEN3009 Dose Level E in S1CR Rate0 percentage of participants
Part 1: GEN3009 Dose Level F in S1CR Rate33.3 percentage of participants
Part 1: GEN3009 Dose Level G in S1CR Rate0 percentage of participants
Secondary

Duration of Response (DoR)

DoR is defined as the time from the first documentation of objective tumor response \[Complete response (CR) or Partial response (PR)\] to the date of first disease progression (PD) or death as assessed by the investigator based on Lugano criteria for B-cell non-Hodgkin lymphoma (B-cell NHL) and International Workshop on Chronic Lymphocytic Leukemia (iwCLL) for chronic lymphocytic leukemia (CLL). Detailed definition of CR, PR and PD as per Lugano and iwCLL criteria in the protocol appendices.

Time frame: From date of first documented CR or PR up to disease progression or death (up to approximately 3 years 4 months)

Population: The FAS comprises all participants to whom study drug had been assigned and who had received at least 1 dose of GEN3009. 'Overall number of participants Analyzed' signified the participants who achieved CR or PR.

ArmMeasureValue (MEDIAN)
Part 1: GEN3009 Dose Level C in S1Duration of Response (DoR)15.9 months
Part 1: GEN3009 Dose Level D in S2Duration of Response (DoR)NA months
Part 1: GEN3009 Dose Level E in S1Duration of Response (DoR)1.4 months
Part 1: GEN3009 Dose Level F in S1Duration of Response (DoR)NA months
Part 1: GEN3009 Dose Level G in S1Duration of Response (DoR)4.1 months
Secondary

Maximum Observed Plasma Concentration (Cmax) of GEN3009

Time frame: Pre-dose and 5 minutes post-dose on days 1, 2, 4 (S2 only), 8, 15, 22 and 2h and 4h post-dose on days 1 and 2, 24h post-dose on day 2 and 72h post-dose on day 4 of Cycles 1 and 2 (Each cycle length=28 days)

Population: The PAS includes all participants who have been exposed to GEN3009 and have had at least one pharmacokinetic sample collected that has provided a valid bioanalytical result. 'Number analyzed' indicates the number of participants with data available for analysis at specified cycle duration.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1: GEN3009 Dose Level A in S1Maximum Observed Plasma Concentration (Cmax) of GEN3009Cycle 18.3000 microgram per milliliter (ug/mL)Standard Deviation 3.5355
Part 1: GEN3009 Dose Level A in S1Maximum Observed Plasma Concentration (Cmax) of GEN3009Cycle 28.1050 microgram per milliliter (ug/mL)Standard Deviation 3.6699
Part 1: GEN3009 Dose Level B in S1Maximum Observed Plasma Concentration (Cmax) of GEN3009Cycle 143.4000 microgram per milliliter (ug/mL)Standard Deviation 12.7674
Part 1: GEN3009 Dose Level B in S1Maximum Observed Plasma Concentration (Cmax) of GEN3009Cycle 246.1667 microgram per milliliter (ug/mL)Standard Deviation 2.7934
Part 1: GEN3009 Dose Level C in S1Maximum Observed Plasma Concentration (Cmax) of GEN3009Cycle 189.8714 microgram per milliliter (ug/mL)Standard Deviation 39.8257
Part 1: GEN3009 Dose Level C in S1Maximum Observed Plasma Concentration (Cmax) of GEN3009Cycle 2118.4800 microgram per milliliter (ug/mL)Standard Deviation 29.9458
Part 1: GEN3009 Dose Level D in S1Maximum Observed Plasma Concentration (Cmax) of GEN3009Cycle 2147.4000 microgram per milliliter (ug/mL)Standard Deviation 52.7286
Part 1: GEN3009 Dose Level D in S1Maximum Observed Plasma Concentration (Cmax) of GEN3009Cycle 1139.0000 microgram per milliliter (ug/mL)Standard Deviation 43.8341
Part 1: GEN3009 Dose Level D in S2Maximum Observed Plasma Concentration (Cmax) of GEN3009Cycle 1363.0667 microgram per milliliter (ug/mL)Standard Deviation 460.6843
Part 1: GEN3009 Dose Level D in S2Maximum Observed Plasma Concentration (Cmax) of GEN3009Cycle 2572.0000 microgram per milliliter (ug/mL)Standard Deviation 708.4659
Part 1: GEN3009 Dose Level E in S1Maximum Observed Plasma Concentration (Cmax) of GEN3009Cycle 1144.4778 microgram per milliliter (ug/mL)Standard Deviation 79.0905
Part 1: GEN3009 Dose Level E in S1Maximum Observed Plasma Concentration (Cmax) of GEN3009Cycle 2237.0000 microgram per milliliter (ug/mL)Standard Deviation 30.8869
Part 1: GEN3009 Dose Level F in S1Maximum Observed Plasma Concentration (Cmax) of GEN3009Cycle 2394.6667 microgram per milliliter (ug/mL)Standard Deviation 109.5871
Part 1: GEN3009 Dose Level F in S1Maximum Observed Plasma Concentration (Cmax) of GEN3009Cycle 1317.3333 microgram per milliliter (ug/mL)Standard Deviation 51.4328
Part 1: GEN3009 Dose Level G in S1Maximum Observed Plasma Concentration (Cmax) of GEN3009Cycle 1352.6667 microgram per milliliter (ug/mL)Standard Deviation 58.5514
Secondary

Number of Participants With Positive Anti-drug Antibodies (ADAs)

Venous blood samples will be collected for measurement of serum concentrations of ADAs. Number of participants with positive ADAs are reported in this outcome measure. The detection of ADAs was performed using validated, specific and sensitive Electrochemiluminescence Immunoassay (ECLIA) method.

Time frame: From first dose until 30 days after the last dose (up to 15.5 months)

Population: The immunogenicity analysis set included all participants who had received at least 1 dose of study drug and had a baseline and at least 1 evaluable on-treatment ADA sample.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Part 1: GEN3009 Dose Level A in S1Number of Participants With Positive Anti-drug Antibodies (ADAs)1 Participants
Part 1: GEN3009 Dose Level B in S1Number of Participants With Positive Anti-drug Antibodies (ADAs)0 Participants
Part 1: GEN3009 Dose Level C in S1Number of Participants With Positive Anti-drug Antibodies (ADAs)2 Participants
Part 1: GEN3009 Dose Level D in S1Number of Participants With Positive Anti-drug Antibodies (ADAs)0 Participants
Part 1: GEN3009 Dose Level D in S2Number of Participants With Positive Anti-drug Antibodies (ADAs)0 Participants
Part 1: GEN3009 Dose Level E in S1Number of Participants With Positive Anti-drug Antibodies (ADAs)1 Participants
Part 1: GEN3009 Dose Level F in S1Number of Participants With Positive Anti-drug Antibodies (ADAs)0 Participants
Part 1: GEN3009 Dose Level G in S1Number of Participants With Positive Anti-drug Antibodies (ADAs)0 Participants
Secondary

Objective Response Rate (ORR)

ORR: the percentage of participants who achieved a best overall response (BOR) of CR or PR as assessed by investigator based on Lugano Criteria for B-cell NHL and iwCLL for CLL. Detailed definitions of CR and PR as per Lugano and iwCLL criteria in the protocol appendices.

Time frame: From day of first dose until disease progression or death due to any cause (up to approximately 3 years 4 months)

Population: The Response Evaluable Set includes all participants in FAS who have baseline evaluable disease and had at least 1 post-baseline disease evaluation or died within 60 days of first trial treatment.

ArmMeasureValue (NUMBER)
Part 1: GEN3009 Dose Level A in S1Objective Response Rate (ORR)0 percentage of participants
Part 1: GEN3009 Dose Level B in S1Objective Response Rate (ORR)0 percentage of participants
Part 1: GEN3009 Dose Level C in S1Objective Response Rate (ORR)42.9 percentage of participants
Part 1: GEN3009 Dose Level D in S1Objective Response Rate (ORR)0 percentage of participants
Part 1: GEN3009 Dose Level D in S2Objective Response Rate (ORR)33.3 percentage of participants
Part 1: GEN3009 Dose Level E in S1Objective Response Rate (ORR)37.5 percentage of participants
Part 1: GEN3009 Dose Level F in S1Objective Response Rate (ORR)66.7 percentage of participants
Part 1: GEN3009 Dose Level G in S1Objective Response Rate (ORR)16.7 percentage of participants
Secondary

Overall Survival (OS)

The OS is defined as the time from the start of study treatment until death due to any cause. The OS was estimated using Kaplan-Meier method.

Time frame: From day of first dose until disease progression or death due to any cause (up to approximately 3 years 4 months)

Population: The FAS comprises all participants to whom study drug had been assigned and who had received at least 1 dose of GEN3009.

ArmMeasureValue (MEDIAN)
Part 1: GEN3009 Dose Level A in S1Overall Survival (OS)NA months
Part 1: GEN3009 Dose Level B in S1Overall Survival (OS)NA months
Part 1: GEN3009 Dose Level C in S1Overall Survival (OS)NA months
Part 1: GEN3009 Dose Level D in S1Overall Survival (OS)10.9 months
Part 1: GEN3009 Dose Level D in S2Overall Survival (OS)NA months
Part 1: GEN3009 Dose Level E in S1Overall Survival (OS)13.7 months
Part 1: GEN3009 Dose Level F in S1Overall Survival (OS)13.1 months
Part 1: GEN3009 Dose Level G in S1Overall Survival (OS)6.6 months
Secondary

Progression-free Survival (PFS)

PFS is defined as the time in days from Day 1 of Cycle 1 to the day of first documented PD, or the day of death due to any cause, whichever comes first as assessed by investigator based on Lugano Criteria for B-cell NHL and iwCLL for CLL. PFS was estimated using the Kaplan-Meier method. Detailed definitions of PD as per Lugano and iwCLL criteria in the protocol appendices.

Time frame: From day of first dose until disease progression or death due to any cause (up to approximately 3 years 4 months)

Population: The FAS comprises all participants to whom study drug had been assigned and who had received at least 1 dose of GEN3009.

ArmMeasureValue (MEDIAN)
Part 1: GEN3009 Dose Level A in S1Progression-free Survival (PFS)1.4 months
Part 1: GEN3009 Dose Level B in S1Progression-free Survival (PFS)2.6 months
Part 1: GEN3009 Dose Level C in S1Progression-free Survival (PFS)4.3 months
Part 1: GEN3009 Dose Level D in S1Progression-free Survival (PFS)1.2 months
Part 1: GEN3009 Dose Level D in S2Progression-free Survival (PFS)2.3 months
Part 1: GEN3009 Dose Level E in S1Progression-free Survival (PFS)1.9 months
Part 1: GEN3009 Dose Level F in S1Progression-free Survival (PFS)NA months
Part 1: GEN3009 Dose Level G in S1Progression-free Survival (PFS)0.8 months
Secondary

Terminal Elimination Half-Life (t 1/2) of GEN3009

Time frame: Pre-dose and 5 minutes post-dose on days 1, 2, 4 (S2 only), 8, 15, 22 and 2h and 4h post-dose on days 1 and 2, 24h post-dose on day 2 and 72h post-dose on day 4 of Cycles 1 and 2 (Each cycle length=28 days)

Population: The PAS includes all participants who have been exposed to GEN3009 and have had at least one pharmacokinetic sample collected that has provided a valid bioanalytical result.

ArmMeasureGroupValue (MEAN)
Part 1: GEN3009 Dose Level A in S1Terminal Elimination Half-Life (t 1/2) of GEN3009Cycle 1NA days
Part 1: GEN3009 Dose Level A in S1Terminal Elimination Half-Life (t 1/2) of GEN3009Cycle 2NA days
Part 1: GEN3009 Dose Level B in S1Terminal Elimination Half-Life (t 1/2) of GEN3009Cycle 1NA days
Part 1: GEN3009 Dose Level B in S1Terminal Elimination Half-Life (t 1/2) of GEN3009Cycle 2NA days
Part 1: GEN3009 Dose Level C in S1Terminal Elimination Half-Life (t 1/2) of GEN3009Cycle 1NA days
Part 1: GEN3009 Dose Level C in S1Terminal Elimination Half-Life (t 1/2) of GEN3009Cycle 2NA days
Part 1: GEN3009 Dose Level D in S1Terminal Elimination Half-Life (t 1/2) of GEN3009Cycle 1NA days
Part 1: GEN3009 Dose Level D in S1Terminal Elimination Half-Life (t 1/2) of GEN3009Cycle 2NA days
Part 1: GEN3009 Dose Level D in S2Terminal Elimination Half-Life (t 1/2) of GEN3009Cycle 1NA days
Part 1: GEN3009 Dose Level D in S2Terminal Elimination Half-Life (t 1/2) of GEN3009Cycle 2NA days
Part 1: GEN3009 Dose Level E in S1Terminal Elimination Half-Life (t 1/2) of GEN3009Cycle 1NA days
Part 1: GEN3009 Dose Level E in S1Terminal Elimination Half-Life (t 1/2) of GEN3009Cycle 2NA days
Part 1: GEN3009 Dose Level F in S1Terminal Elimination Half-Life (t 1/2) of GEN3009Cycle 2NA days
Part 1: GEN3009 Dose Level F in S1Terminal Elimination Half-Life (t 1/2) of GEN3009Cycle 1NA days
Part 1: GEN3009 Dose Level G in S1Terminal Elimination Half-Life (t 1/2) of GEN3009Cycle 1NA days
Part 1: GEN3009 Dose Level G in S1Terminal Elimination Half-Life (t 1/2) of GEN3009Cycle 2NA days
Secondary

Time to Reach Cmax (Tmax) of GEN3009

Time frame: Pre-dose and 5 minutes post-dose on days 1, 2, 4 (S2 only), 8, 15, 22 and 2h and 4h post-dose on days 1 and 2, 24h post-dose on day 2 and 72h post-dose on day 4 of Cycles 1 and 2 (Each cycle length=28 days)

Population: The PAS includes all participants who have been exposed to GEN3009 and have had at least one pharmacokinetic sample collected that has provided a valid bioanalytical result. 'Number analyzed' indicates the number of participants with data available for analysis at specified cycle duration.

ArmMeasureGroupValue (MEAN)Dispersion
Part 1: GEN3009 Dose Level A in S1Time to Reach Cmax (Tmax) of GEN3009Cycle 10.0765 daysStandard Deviation 0.012
Part 1: GEN3009 Dose Level A in S1Time to Reach Cmax (Tmax) of GEN3009Cycle 20.0445 daysStandard Deviation 0.0007
Part 1: GEN3009 Dose Level B in S1Time to Reach Cmax (Tmax) of GEN3009Cycle 10.1490 daysStandard Deviation 0.0957
Part 1: GEN3009 Dose Level B in S1Time to Reach Cmax (Tmax) of GEN3009Cycle 20.1650 daysStandard Deviation 0.1643
Part 1: GEN3009 Dose Level C in S1Time to Reach Cmax (Tmax) of GEN3009Cycle 10.2084 daysStandard Deviation 0.0553
Part 1: GEN3009 Dose Level C in S1Time to Reach Cmax (Tmax) of GEN3009Cycle 20.1656 daysStandard Deviation 0.082
Part 1: GEN3009 Dose Level D in S1Time to Reach Cmax (Tmax) of GEN3009Cycle 20.2740 daysStandard Deviation 0.301
Part 1: GEN3009 Dose Level D in S1Time to Reach Cmax (Tmax) of GEN3009Cycle 10.6039 daysStandard Deviation 0.6768
Part 1: GEN3009 Dose Level D in S2Time to Reach Cmax (Tmax) of GEN3009Cycle 11.2123 daysStandard Deviation 1.5987
Part 1: GEN3009 Dose Level D in S2Time to Reach Cmax (Tmax) of GEN3009Cycle 20.2030 daysStandard Deviation 0.0346
Part 1: GEN3009 Dose Level E in S1Time to Reach Cmax (Tmax) of GEN3009Cycle 10.5030 daysStandard Deviation 0.2908
Part 1: GEN3009 Dose Level E in S1Time to Reach Cmax (Tmax) of GEN3009Cycle 20.1620 daysStandard Deviation 0.0595
Part 1: GEN3009 Dose Level F in S1Time to Reach Cmax (Tmax) of GEN3009Cycle 20.1983 daysStandard Deviation 0.0535
Part 1: GEN3009 Dose Level F in S1Time to Reach Cmax (Tmax) of GEN3009Cycle 11.3817 daysStandard Deviation 0.089
Part 1: GEN3009 Dose Level G in S1Time to Reach Cmax (Tmax) of GEN3009Cycle 11.2580 daysStandard Deviation 0.0771
Secondary

Time to Response (TTR)

TTR: time from first dose of administration until date of first response as assessed by investigator based on Lugano criteria for B-cell NHL and iwCLL for CLL. It is derived for all participants who achieved PR or CR. Detailed definitions of CR, PR and PD as per Lugano and iwCLL criteria in the protocol appendices.

Time frame: From date of first documented CR or PR up to disease progression or death (up to approximately 3 years 4 months)

Population: The FAS comprises all participants to whom study drug had been assigned and who had received at least 1 dose of GEN3009. 'Overall number of participants analyzed' indicates the number of participants who achieved CR or PR.

ArmMeasureValue (MEAN)Dispersion
Part 1: GEN3009 Dose Level C in S1Time to Response (TTR)1.3361 monthsStandard Deviation 0.1004
Part 1: GEN3009 Dose Level D in S2Time to Response (TTR)1.8727 months
Part 1: GEN3009 Dose Level E in S1Time to Response (TTR)1.2704 monthsStandard Deviation 0.2138
Part 1: GEN3009 Dose Level F in S1Time to Response (TTR)2.0370 monthsStandard Deviation 1.0222
Part 1: GEN3009 Dose Level G in S1Time to Response (TTR)1.1828 months
Secondary

Trough Concentrations (Ctrough) of GEN3009

Time frame: Pre-dose and 5 minutes post-dose on days 1, 2, 4 (S2 only), 8, 15, 22 and 2h and 4h post-dose on days 1 and 2, 24h post-dose on day 2 and 72h post-dose on day 4 of Cycles 1 and 2 (Each cycle length=28 days)

Population: The PAS includes all participants who have been exposed to GEN3009 and have had at least one pharmacokinetic sample collected that has provided a valid bioanalytical result.

ArmMeasureGroupValue (MEAN)
Part 1: GEN3009 Dose Level A in S1Trough Concentrations (Ctrough) of GEN3009Cycle 1NA ug/mL
Part 1: GEN3009 Dose Level A in S1Trough Concentrations (Ctrough) of GEN3009Cycle 2NA ug/mL
Part 1: GEN3009 Dose Level B in S1Trough Concentrations (Ctrough) of GEN3009Cycle 2NA ug/mL
Part 1: GEN3009 Dose Level B in S1Trough Concentrations (Ctrough) of GEN3009Cycle 1NA ug/mL
Part 1: GEN3009 Dose Level C in S1Trough Concentrations (Ctrough) of GEN3009Cycle 1NA ug/mL
Part 1: GEN3009 Dose Level C in S1Trough Concentrations (Ctrough) of GEN3009Cycle 2NA ug/mL
Part 1: GEN3009 Dose Level D in S1Trough Concentrations (Ctrough) of GEN3009Cycle 2NA ug/mL
Part 1: GEN3009 Dose Level D in S1Trough Concentrations (Ctrough) of GEN3009Cycle 1NA ug/mL
Part 1: GEN3009 Dose Level D in S2Trough Concentrations (Ctrough) of GEN3009Cycle 2NA ug/mL
Part 1: GEN3009 Dose Level D in S2Trough Concentrations (Ctrough) of GEN3009Cycle 1NA ug/mL
Part 1: GEN3009 Dose Level E in S1Trough Concentrations (Ctrough) of GEN3009Cycle 1NA ug/mL
Part 1: GEN3009 Dose Level E in S1Trough Concentrations (Ctrough) of GEN3009Cycle 2NA ug/mL
Part 1: GEN3009 Dose Level F in S1Trough Concentrations (Ctrough) of GEN3009Cycle 1NA ug/mL
Part 1: GEN3009 Dose Level F in S1Trough Concentrations (Ctrough) of GEN3009Cycle 2NA ug/mL
Part 1: GEN3009 Dose Level G in S1Trough Concentrations (Ctrough) of GEN3009Cycle 2NA ug/mL
Part 1: GEN3009 Dose Level G in S1Trough Concentrations (Ctrough) of GEN3009Cycle 1NA ug/mL
Secondary

Volume of Distribution of GEN3009

Time frame: Pre-dose and 5 minutes post-dose on days 1, 2, 4 (S2 only), 8, 15, 22 and 2h and 4h post-dose on days 1 and 2, 24h post-dose on day 2 and 72h post-dose on day 4 of Cycles 1 and 2 (Each cycle length=28 days)

Population: The PAS includes all participants who have been exposed to GEN3009 and have had at least one pharmacokinetic sample collected that has provided a valid bioanalytical result.

ArmMeasureGroupValue (MEAN)
Part 1: GEN3009 Dose Level A in S1Volume of Distribution of GEN3009Cycle 1NA mL
Part 1: GEN3009 Dose Level A in S1Volume of Distribution of GEN3009Cycle 2NA mL
Part 1: GEN3009 Dose Level B in S1Volume of Distribution of GEN3009Cycle 1NA mL
Part 1: GEN3009 Dose Level B in S1Volume of Distribution of GEN3009Cycle 2NA mL
Part 1: GEN3009 Dose Level C in S1Volume of Distribution of GEN3009Cycle 1NA mL
Part 1: GEN3009 Dose Level C in S1Volume of Distribution of GEN3009Cycle 2NA mL
Part 1: GEN3009 Dose Level D in S1Volume of Distribution of GEN3009Cycle 1NA mL
Part 1: GEN3009 Dose Level D in S1Volume of Distribution of GEN3009Cycle 2NA mL
Part 1: GEN3009 Dose Level D in S2Volume of Distribution of GEN3009Cycle 1NA mL
Part 1: GEN3009 Dose Level D in S2Volume of Distribution of GEN3009Cycle 2NA mL
Part 1: GEN3009 Dose Level E in S1Volume of Distribution of GEN3009Cycle 1NA mL
Part 1: GEN3009 Dose Level E in S1Volume of Distribution of GEN3009Cycle 2NA mL
Part 1: GEN3009 Dose Level F in S1Volume of Distribution of GEN3009Cycle 2NA mL
Part 1: GEN3009 Dose Level F in S1Volume of Distribution of GEN3009Cycle 1NA mL
Part 1: GEN3009 Dose Level G in S1Volume of Distribution of GEN3009Cycle 1NA mL
Part 1: GEN3009 Dose Level G in S1Volume of Distribution of GEN3009Cycle 2NA mL

Source: ClinicalTrials.gov · Data processed: Jul 9, 2026